ACO Name and Location

NJPACO R, LLC

1155 S Congress Ave

West Palm Beach, Florida 33406

ACO Primary Contact

Contact Name:
Vinod Sancheti, MD
Primary Contact Phone Number:
(732) 580-8727
Primary Contact Email Address: [email protected]

Public Reporting (PDF)

ACO PARTICIPANTS

ACO Participants	ACO Participant in Joint Venture
A D Monta Md And Associates Pc	N
A P HEALTHCARE SERVICES LLC	N
AMAN PC	N
ANJANA MATHUR MD PA	N
Ashok K Sinha Md PA	N
ATLANTIC MEDICAL PHYSICIANS LLC	N
Avelina Flores MD PC	N
CARDIO MEDICAL AND VEIN CENTER, PC	N
CARTERET MEDICAL ENTERPRISE INC	N
CENTRAL JERSEY CARDIOLOGY, PC	N
CENTRAL JERSEY HEALTH CARE PC	N
Chi-Hsiung Lin	N
CROSS ISLAND MEDICAL LLC	N
DOVER INTERNAL MEDICINE, LLC	N
DR EDUARDO SAMANIEGO PRIMARY MEDICAL CARE LLC	N
EASTERN MEDICAL ASSOCIATES, P.C.	N
ELIZABETH PRIMARY CARE, LLC	N
FLORAL PARK MEDICAL PC	N
GARDEN STATE GASTROENTEROLOGY,PC	N
GARDEN STATE MEDICINE PC	N
GERIATRIC MEDICAL CENTER LLC	N
GREGORIO J. GUILLEN MD, PC	N
HENRY KONG	N
HOWELL PRIMARY CARE, PC	N
JOHN P SERSANTI, MD,PC	N
john renda md	N
JOHN V KELLY MD PC	N
KEITH SHERROW	N
KISHAN-HENAL LLC	N
LACEY MEDICAL GROUP LLC	N
LIJING SHEN	N
LINWOOD INTERNAL MEDICINE CORP	N
MANISH PATEL MD PC	N
MANISH SAINI MD LLC	N
NAVESINK PRIMARY CARE,INC	N
NORTH EDISON FAMILY PRACTICE GROUP LLC	N
OCEAN FAMILY & GERIATRIC ASSOCIATES LLC	N
OCEAN MEDICAL GROUP PA	N
PETRONILO L SEARES JR MD LLC	N
PG MEDICAL ASSOCIATES PA	N
PROFESSIONAL ASSOCIATES OF JACKSON LLC	N
PULMONARY INTERNISTS OF CENTRAL JERSEY LLC	N
REKHA GOHEL MD LLC	N
RICHARD MENASHE	N
RIMMI SOBTI MD INC	N
Rocco a giliberti do llc	N
Sandhya Patil	N
SARWAT TAKLA	N
SHORE MEDICAL SPECIALISTS	N
SUNANDA KRISHNA, M.D., LLC	N
UNIVERSITY GERIATRICS & INTERNAL MEDICINE ASSOCIATES,LLC	N
VINOD SANCHETI MDPA	N
WINDING RIVER MEDICAL PARK	N

ACO ID: A4862
ACO Legal Business Name: NJPACO R, LLC

Member First Name

Member Last Name

Member Title/Position

Member Voting Power (Expressed as a percentage)

Membership Type

ACO Participant TIN Legal Business Name

1

Karambir

Dalal

Doctor

6.25%

ACO participant representative

OCEAN MEDICAL GROUP PA

2

Dilip

Desai

Doctor

6.25%

ACO participant representative

WINDING RIVER MEDICAL PARK

3

Rekha

Gohel

Doctor

3.125%

ACO participant representative

REKHA GOHEL MD

4

Sukhjender

Goraya

Doctor

6.25%

ACO participant representative

CENTRAL JERSEY HEALTHCARE PC

5

Gian

Hasija

Medicare Beneficiary

6.25%

Medicare Beneficiary Representative

MEDICARE BENEFICIARY

6

Sanjay

Kumar

Doctor

6.25%

ACO participant representative

PROFESSIONAL ASSOCIATES OF JACKSON LLC

7

Avtar

Parhar

Doctor

6.25%

ACO participant representative

PULMONARY INTERNISTS OF CENTRAL JERSEY LLC

8

Akshay

Patel

Doctor

6.25%

ACO participant representative

SHORE MEDICAL SPECIALISTS

9

Puneet

Sahgal

Doctor

6.25%

ACO participant representative

CARDIO MEDICAL AND VEIN CENTER PC

10

Manish

Saini

Doctor

6.25%

ACO participant representative

MANISH SAINI MD LLC

11

Vinod

Sancheti

Chairman

6.25%

ACO participant representative

VINOD SANCHETI MD PA

12

Mukesh

Shah

Doctor

6.25%

ACO participant representative

PROFESSIONAL ASSOCIATES OF JACKSON

13

Sanjiv

Sharma

Doctor

3.125%

ACO participant representative

GERIATRIC MEDICAL CENTER LLC

14

Bikramjit

Singh

Doctor

6.25%

ACO participant representative

CARTERET MEDICAL ENTERPRISE

15

Varinder

Singh

Doctor

6.25%

ACO participant representative

CENTRAL JERSEY CARDIOLOGY PC

16

Rimmi

Sobti

Doctor

6.25%

ACO participant representative

RIMMI SOBTI MD INC

Key ACO clinical and administrative leadership

Position

Name

ACO Executive

Vinod Sancheti

Medical Director

Vinod Sancheti

Compliance Officer

Manish Saini

Quality Assurance/Improvement Officer

Bikramjit Singh

Associated committees and committee leadership

Committee Name

Committee Leader Name and Position

Board of Managing Members

Dr. Vinod Sancheti, ACO Executive

Medical Director Committee

Dr. Vinod Sancheti, ACO Executive

Dr. Manish Saini, Compliance Officer

Compliance, Audit, Law and Risk Management Committee

Dr. Manish Saini, Compliance Officer

Dr. Bikramjit Singh, Quality Assurance/Improvement Officer

Dr. Karambir Dalal, Financial Officer

Quality, Utilization, Clinical Protocols and Safety Committee

Dr. Bikramjit Singh, Quality Assurance/Improvement Officer

Mrs. Amanda Larschan, Director of Operations

Network Development Committee

Dr. Vinod Sancheti, ACO Executive

Dr. Karambir Dalal, Financial Officer

Dr. Tittymol Mathew, Committee Member

Dr. Manish Saini, Compliance Officer

Dr. Akshay Patel, Committee Member

Dr. Manoj Patel, Committee Member

Mrs. Amanda Larschan, Director of Operations

Committee Name

Committee Leader Name and Position

Physician Membership, Credentialing and Business Expansion Committee

Dr. Vinod Sancheti, ACO Executive

Dr. Avtar Parhar, Marketing Officer

Physician Engagement and Education Committee

Dr. Anjana Mathur, Committee Member

Dr. Avtar Parhar- Marketing Officer

Dr. Karambir Dalal, Financial Officer

Dr. Bikramjit Singh, Quality Assurance/Improvement Officer

Dr. Puneet Sahgal, Committee Member

Finance Committee

Dr. Karambir Dalal, Financial Officer

Dr. Bikramjit Singh, Quality Assurance/Improvement Officer

Dr. Rajendra Bansal, CEO ACOM NJ, LLC

Information Technology Committee

Mrs. Amanda Larschan, Director of Operations

Patient Engagement and Education Committee

Dr. Manish Saini, Compliance Officer

Types of ACO Participants, or combinations of participants, that formed the ACO

A network of individual practices of ACO professionals.

Shared Savings and Losses

Amount of Shared Savings/Losses

Fourth Agreement Period
- Performance Year 2023 $12,225,114.16
Third Agreement Period
- Performance Year 2022 $10,664,164.58
Second Agreement Period
- Performance Year 2021 $3,744,254.30
First Agreement Period
- Performance Year 2020 $5,244,309

How Shared Savings Are Distributed

Third Agreement Period
- Performance Year 2022
  - Proportion invested in infrastructure: N/A
  - Proportion invested in redesigned care processes/resources: N/A
  - Proportion of distribution to ACO participants: $10,664,164.58
Second Agreement Period
- Performance Year 2021
  - Proportion invested in infrastructure: N/A
  - Proportion invested in redesigned care processes/resources: N/A
  - Proportion of distribution to ACO participants: $3,744,254.30
First Agreement Period
- Performance Year 2020
  - Proportion invested in infrastructure: N/A
  - Proportion invested in redesigned care processes/resources: N/A
  - Proportion of distribution to ACO participants: $5,244,309

2023 Quality Performance Results:
Quality performance results are based on CMS Web Interface.

Measure #	Measure Name	Collection Type	Reported Performance Rate	Current Year Mean Performance Rate (SSP ACOs)
Quality ID# 001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1]	CMS Web Interface	5.61	9.84
Quality ID# 134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	90.23	80.97
Quality ID# 236	Controlling High Blood Pressure	CMS Web Interface	85.01	77.80
Quality ID# 318	Falls: Screening for Future Fall Risk	CMS Web Interface	95.87	89.42
Quality ID# 110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	80.00	70.76
Quality ID# 226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	92.00	79.29
Quality ID# 113	Colorectal Cancer Screening	CMS Web Interface	77.01	77.14
Quality ID# 112	Breast Cancer Screening	CMS Web Interface	77.69	80.36
Quality ID# 438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	92.83	87.05
Quality ID# 370	Depression Remission at Twelve Months	CMS Web Interface	73.26	16.58
Quality ID# 321	CAHPS for MIPS	N/A	7.09	6.25
Measure# 479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	0.1707	0.1553
Measure# 484	Clinician and Clinician Group Risk-Standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions	Administrative Claims	—	35.39
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	87.82	83.68
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	94.10	93.69
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	92.65	92.14
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	79.08	75.97
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	63.15	63.93
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	61.89	61.60
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	77.53	74.12
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	87.22	85.77
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	92.48	92.31
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	22.83	26.69

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov.

Payment Rule Waivers

• Skilled Nursing Facility (SNF) 3-day Rule Waiver:
- Yes, Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.